New Doc & not encouraging

Sticking a needle Where? Courage, guidance and help.
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SteveSW
Posts: 977
Joined: Sat Sep 08, 2018 6:23 pm
Location: St. Louis, MO

Re: New Doc & not encouraging

Postby SteveSW » Wed May 01, 2019 10:06 pm

Saw the uro today, and he increased my Trimix strength to 20/30/2. Hopefully, I'll get good results with a smaller injection. Can't wait to find out,
20 years of severe Peyronie's plaque, 90 curve, hinging and ED. Cost me 1.5" L and 1" G.
Implanted 2/18/21, AMS CX, 18 CM + 3 RTE, penoscrotal. Have gained 3/4". Gay, married, age 68.

Seb2251
Posts: 21
Joined: Mon Dec 31, 2018 3:56 pm

Re: New Doc & not encouraging

Postby Seb2251 » Thu May 02, 2019 1:50 am

SteveSW,

You said your Trimix formula is 20/30/2. It means 20mcg Prostaglandin / 30mg Papaverine / 2mg/mL Phentolamine? It is correct?

Last fall I received a set of Trimix mix for first time with the same formula as above. Is this formula a standard strength? I have tried it many times from 20 units to 50 units. My hardest erection was always lasted less than a half hour. I was hoping my erection would be lasted for one hour or longer.

Before I will call pharmacists for a 2nd refill. Can I ask them for stronger strength without seeing my uro first?

Thanks!
4/24/1949 A retired photographer, Had prostate cancer surgery 9/15/13. Starts Trimix injector 9/10/18 cuz Viagra didn't help me so much.
Prostaglandin 20mecg / Papaverine 30mg / Phentolamine 2mg/ml.

60s_surfer
Posts: 83
Joined: Mon Jul 30, 2018 1:42 pm

Re: New Doc & not encouraging

Postby 60s_surfer » Thu May 02, 2019 3:32 pm

My experience is that the pharmacy wants a new prescription every time the proportion of the three drugs changes. I have had this experience with two pharmacies so far.
71 years old in 2018; married 49 years. ED since 2001. PD5 inhibitors (Viagra, etc.) worked with increasing dosages until side effects got too bad by 2017. Now using Trimix injections. Delayed ejaculation has been a continuing problem since 2012.

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bldoink
Posts: 3918
Joined: Mon Apr 03, 2017 12:58 am
Location: Fl.

Re: New Doc & not encouraging

Postby bldoink » Thu May 02, 2019 4:18 pm

Seb2251 wrote:SteveSW,

You said your Trimix formula is 20/30/2. It means 20mcg Prostaglandin / 30mg Papaverine / 2mg/mL Phentolamine? It is correct?

Last fall I received a set of Trimix mix for first time with the same formula as above. Is this formula a standard strength? I have tried it many times from 20 units to 50 units. My hardest erection was always lasted less than a half hour. I was hoping my erection would be lasted for one hour or longer.

Before I will call pharmacists for a 2nd refill. Can I ask them for stronger strength without seeing my uro first?

Thanks!

I'm not a medical professional of any kind. Anything I post is based on my own experiences, at best and hallucinations or delusions at worst. Internet forum advice is often worth what you paid for it. Always ask your doctor and follow his/her advice.

I believe your script would be considered a medium strength formula. You might want to ask your doctor for a stronger script. You very likely have some degree of venous leak, but perhaps not. I'm not a doctor, I'm just speculating. You also might consider trying adding a cock ring to the mix. they help me, with hardness and duration. But you'll have to experiment to find the right one(s) for you. Expect to throw some away.

You will need a new script for a change in formula. In many if not most cases you won't have to see the doctor for that. You call his/her office and talk to or leave a message with the doctor or nurse or NP or PA or whatever. They call it in to your pharmacy after they get the message. That's how it often works unless the doctor is a little tight on his Mercedes or Hatteras payment.

Good luck.
R.R.P 2011 Mayo Jacksonville, Dr. M. Wehle. Not nerve sparing. C in margins. Radiation 2023, V.E.D, Viagra and PGE-1 (80mcg/ml) injections @ 8 - 14 units. Originally Edex20, then compounded PGE due to cost. Inject. 12 yrs. It works. Treasure coast of FL.

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SteveSW
Posts: 977
Joined: Sat Sep 08, 2018 6:23 pm
Location: St. Louis, MO

Re: New Doc & not encouraging

Postby SteveSW » Thu May 02, 2019 10:03 pm

I had to see the Dr to change my script. He is good about working you in same day or next, for a 5 min. discussion. I called on Tuesday afternoon and saw him Wednesday morning at 7:30am. Now waiting for the out of state pharmacy he uses to call and collect $ and ship. I'm sure Dr gets a kickback from pharmacy, but it was really seamless last time, and it's cheaper than the local pharmacy.
20 years of severe Peyronie's plaque, 90 curve, hinging and ED. Cost me 1.5" L and 1" G.
Implanted 2/18/21, AMS CX, 18 CM + 3 RTE, penoscrotal. Have gained 3/4". Gay, married, age 68.

oldbeek
Posts: 2547
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: New Doc & not encouraging

Postby oldbeek » Sat May 04, 2019 11:53 pm

SteveSW wrote:I had to see the Dr to change my script. He is good about working you in same day or next, for a 5 min. discussion. I called on Tuesday afternoon and saw him Wednesday morning at 7:30am. Now waiting for the out of state pharmacy he uses to call and collect $ and ship. I'm sure Dr gets a kickback from pharmacy, but it was really seamless last time, and it's cheaper than the local pharmacy.

You are 65, why are you waiting to get an implant.Scaring and pyronies makes it harder to install an implant. I had scaring and when minor pyronies started the implant doc said stop injections immediately.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

oldbeek
Posts: 2547
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: New Doc & not encouraging

Postby oldbeek » Sun May 05, 2019 12:05 am

SteveSW wrote:Saw the uro today, and he increased my Trimix strength to 20/30/2. Hopefully, I'll get good results with a smaller injection. Can't wait to find out,
.
Go to general discussion. See; documents worth reading. scroll down to trimix strength from different labs. weak, medium. , strong.
Good information there.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

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SteveSW
Posts: 977
Joined: Sat Sep 08, 2018 6:23 pm
Location: St. Louis, MO

Re: New Doc & not encouraging

Postby SteveSW » Sun May 05, 2019 7:00 pm

Oldbeek, Thanks for pointing out the reading material. As to why I am waiting on the implant? Money, insurance BS, travel/access to a good surgeon.
20 years of severe Peyronie's plaque, 90 curve, hinging and ED. Cost me 1.5" L and 1" G.
Implanted 2/18/21, AMS CX, 18 CM + 3 RTE, penoscrotal. Have gained 3/4". Gay, married, age 68.


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